<div class="layui-card">
  <div class="layui-card-body">
    <form class="layui-form" action="{:url('wendasns/common/report')}" method="post">
      <input type="hidden" name="id" value="{{ d.id }}">
      <input type="hidden" name="type" value="{{ d.type }}">
      
      <div class="layui-form-item">
        <div class="layui-input-inline">类别</div>
        <div class="layui-input-inline" style="width: 100%;">
          {volist name="report" id="item"}
          <input type="radio" name="reason" value="{$item.id}" title="{$item.reason}">
          {/volist}
          <input type="radio" name="reason" value="0" title="其它">
        </div>
      </div>
      <div class="layui-form-item layui-form-text">
        <div class="layui-input-inline">说明</div>
        <div class="layui-input-inline" style="width: 100%;">
          <textarea name="content" placeholder="详细的说明，有助于我们更快的理解您的反馈。" class="layui-textarea"></textarea>
        </div>
      </div>
      <div class="layui-form-item">
        <div class="layui-input-inline" style="width: 100%;text-align: center;">
          <button class="layui-btn" lay-submit="" lay-filter="J_ajax_submit_btn">提交</button>
        </div>
      </div>
    </form>
  </div>
</div>